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在埃塞俄比亚东北部博鲁梅达综合医院产前诊所就诊的孕妇中,乙型肝炎和丙型肝炎病毒感染的血清阳性率较高。

High Seroprevalence of Hepatitis B and C Virus Infections among Pregnant Women Attending Antenatal Clinic in Borumeda General Hospital, Northeast Ethiopia.

机构信息

Department of Medical Laboratory Science, College of Medicine and Health Sciences, Wollo University, P.O. Box 1145, Dessie, Ethiopia.

Department of Environmental Health Science, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

Biomed Res Int. 2022 Aug 28;2022:1395238. doi: 10.1155/2022/1395238. eCollection 2022.

Abstract

BACKGROUND

Viral hepatitis are considered as the cause of solemn health problem for the human kind, particularly among pregnant women in the 21 century. Therefore, this study is aimed at determining the seroprevalence of HBV and HCV infection among pregnant women attending at Borumeda General Hospital, Dessie, Northeast Ethiopia.

METHODS

An institution-based cross-sectional study was conducted at Borumeda General Hospital from April to May, 2020. A consecutive total of 124 pregnant women who were attending at the antenatal clinic (ANC) of the hospital were included. A structured questionnaire was used to assess the associated factors and some sociodemographic characteristics. Five milliliters of venous blood was collected from each study participant, and a laboratory test using a rapid HBsAg and anti-HCV kit was done. The data were analyzed using SPSS software version 22.

RESULTS

The mean age of the study subjects was 25.81 (5.967) years. The overall seroprevalence of either HBV or HCV infections among the study participants was 14 (11.3%). HBsAg and anti-HCV were positive among 10 (8.1%) and 4 (3.2%) study participants, respectively. There was no coinfection result between HBV and HCV among pregnant women. Pregnant women who had abortion history [AOR 5.723; 95% CI 1.100-29.785, value = 0.038] and hospitalization history with IV medication [AOR 6.939; 95% CI 1.017-47.322, value = 0.048] exhibited statistically significant association with HBV infection.

CONCLUSIONS

Seroprevalence of HBV and HCV infections among pregnant women was high, and the rate of HBV particularly can be considered in the high endemic category of the WHO classification scheme. Continuous screening of pregnant mothers, provision of hepatitis B vaccine for females at the child-bearing age, and health education to create awareness about HBV and HCV should be implemented.

摘要

背景

病毒性肝炎被认为是 21 世纪人类面临的严重健康问题之一,尤其是在孕妇中。因此,本研究旨在确定在埃塞俄比亚东北部博勒梅达综合医院就诊的孕妇中乙型肝炎病毒(HBV)和丙型肝炎病毒(HCV)感染的血清流行率。

方法

这是一项在 2020 年 4 月至 5 月期间在博勒梅达综合医院进行的基于机构的横断面研究。共纳入了 124 名在医院产前诊所就诊的孕妇。使用结构化问卷评估了相关因素和一些社会人口学特征。从每个研究对象采集 5 毫升静脉血,并使用快速 HBsAg 和抗-HCV 试剂盒进行实验室检测。数据使用 SPSS 软件版本 22 进行分析。

结果

研究对象的平均年龄为 25.81(5.967)岁。研究参与者中 HBV 或 HCV 感染的总血清流行率为 14(11.3%)。10(8.1%)和 4(3.2%)名研究参与者的 HBsAg 和抗-HCV 检测结果呈阳性。孕妇中没有 HBV 和 HCV 的合并感染结果。有流产史的孕妇(AOR 5.723;95%CI 1.100-29.785, 值=0.038)和有住院史并接受静脉药物治疗的孕妇(AOR 6.939;95%CI 1.017-47.322, 值=0.048)与 HBV 感染呈统计学显著关联。

结论

孕妇中 HBV 和 HCV 感染的血清流行率较高,HBV 的流行率尤其可以被认为是世界卫生组织分类方案的高流行类别。应持续对孕妇进行筛查,为育龄女性提供乙型肝炎疫苗,并开展乙肝和丙肝防治知识的健康教育。

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